Individual
MR. ANDREW PAUL BUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
205 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 892-3470
Mailing address
500 PASADENA DR, MAGNOLIA, NJ 08049-1645
(610) 717-8755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000015396
BOC
—
01
—
J3-0000512
STATE ATHLETIC TRAINING LICENSE
PA
Enumeration date
08/14/2019
Last updated
08/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us